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Affective Visual Circuit Dysfunction in Trauma and Stress-Related Disorders
Nathaniel G Harnett1, Leland L Fleming1, Kevin J Clancy1
1Division of Depression and Anxiety, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Posttraumatic stress disorder (PTSD) involves disrupted threat neurocircuitry and altered visual processing. This review explores how visual circuitry interacts with threat circuits in PTSD development and pathogenesis.
Area of Science:
- Neuroscience
- Psychiatry
- Visual Processing
Background:
- Posttraumatic stress disorder (PTSD) is linked to disruptions in neurocircuitry governing threat processing.
- The prefrontal cortex-hippocampal-amygdala circuit is critical in PTSD-related dysfunction.
- Threat neurocircuitry relies on sensory input, with connections to the ventral visual stream.
Purpose of the Study:
- To review evidence integrating threat and visual circuitry in PTSD pathogenesis.
- To examine the role of visual processing in PTSD from basic and translational research.
- To explore potential timing-dependent effects of trauma on these circuits.
Main Methods:
- Literature review synthesizing existing research on PTSD, threat neurocircuitry, and visual processing.
- Analysis of basic and translational studies on stress, affective visual circuitry, and trauma exposure.
- Synthesis of emergent findings on the interplay between visual and threat systems.
Main Results:
- Emergent evidence indicates altered structure and function of the ventral visual stream in PTSD.
- Both threat and visual circuitry are integral components of PTSD pathogenesis.
- Stress impacts affective visual circuitry, suggesting a role in PTSD.
Conclusions:
- Visual processing and threat circuitry are intertwined in PTSD.
- Traumatic stress may have timing-dependent effects on these circuits.
- Further research is needed for a comprehensive understanding of PTSD neurobiology.
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